Expert opinion piloting of statе regulation of prices for medicines hypertensive patients regional pharmaceutical market Lugansk region
According to the Ministry of Health of Ukraine Lugansk region has been recognized as the best region as a result of the implementation of the Pilot Project on state regulation of prices of medicines to patients GB.
The aim of the study became the peer evaluation in the chain «provizor–patient» of the project implementation at the regional pharmaceutical market Lugansk region. The experts were 65 managers and pharmacists pharmacy network enterprise «LO "Pharmacy"» and 120 customers of pharmacies, hypertensive patients who received the drug on prescription reimbursement.
Studies reflected the positive trends in the implementation of the pilot project and disadvantages, and the direction of its improvement. Among the positive trends can be identified: the growth of drug sales appointments and Ukrainian production; increase the availability of medicines to patients; for pharmacy network – a guaranteed retail turnover subject to the timely repayment of debt for sold drugs project. From the negative side piloting respondents note: the reluctance of patients to seek care GB for a prescription; the queues in hospitals because of understaffing medical personnel in the design and duration of the prescription; conflict situations with customers in pharmacy due to the change of the list of drugs in the project during the year, the lack of reference prices for many drugs, drug stock-outs; neplanomernoe allocations pharmacy network for reimbursement and the availability of debt for sold drugs. According to respondents, the list needs to be improved drug design due to its expansion of foreign analogs and other drugs pharmacological groups. Necessary to increase the number of doctors at the reception, improve diagnostic methods GB with modern equipment; simplify the holidays prescription drug benefit; prescribe based on the amount of the drug for a month's course of treatment; does not change the list of project during the year, to solve issues concerning the reference price in a short time; minimize shortages of drugs project distributors and pharmacy network; timely finance pharmacies to reimburse the cost of the project for sold drugs. It is important that the pharmacist at the drug leave the customer with a prescription reimbursement consider pharmacoeconomic aspects of generic in terms of «cost–effectiveness».
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